hs-CRP / HDL Ratio

The ratio of hs-CRP to HDL, a combined inflammation and heart-risk marker.

Last reviewedJune 16, 2026
Calculated
sample type
Not applicable (calculated)
blood needed
~7 days
results in app
Same as its component tests
best timing
TEST THIS WITH ANIVA
199 € / year
0.55 € a day · 100+ biomarkers
Get Started
Cheaper than a comparable test at your doctor. Guaranteed, or we match the price.
Privately insured? German PKV usually reimburses.
In short

The hs-CRP to HDL ratio is a calculated value, not a separate blood test. It combines high-sensitivity CRP, a marker of low-grade inflammation, with HDL cholesterol, the protective cholesterol that also has anti-inflammatory effects.

The formula is: hs-CRP ÷ HDL cholesterol, using the units reported by the lab.

Heart & Cholesterol
Reviewed against DGKL reference practice.
Why it matters

Why test this?

Inflammation and low HDL both contribute to cardiovascular risk. Combining them aims to capture both in one number, and the ratio has been studied as a marker of inflammatory and metabolic risk.

A higher ratio reflects more inflammation relative to protective cholesterol and has been linked with greater cardiometabolic risk. A lower ratio is more favourable.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

There is no firmly established healthy reference range for the hs-CRP to HDL ratio. It is used in research as a relative risk marker, where higher values suggest greater inflammatory and metabolic risk. Interpret as a trend with a clinician rather than against a fixed cutoff.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A combined read on inflammation and protective cholesterol.
  • Context for cardiometabolic risk beyond either marker alone.
  • A trend to follow as lifestyle changes lower inflammation or raise HDL.
What affects your level

What can affect this result?

What can skew the result

CRP rises with any infection, injury or recent illness and is non-specific, so it should be measured when you are well. HDL can be affected by alcohol, smoking and some medications. Recent illness can raise CRP and inflate the ratio for reasons unrelated to cardiovascular risk.

Best interpreted with

Read with its components, hs-CRP and HDL cholesterol, and alongside the full lipid panel and other cardiovascular risk factors.

How testing works

How is this tested?

Sample
Calculated
Blood needed
Not applicable (calculated)
Method
Calculated ratio
Best timing
Same as its component tests
FAQ

Common questions

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

Stop guessing. See this with Aniva.

One annual membership, 100+ biomarkers, every result explained in plain language with a personalized action plan and concierge guidance.

Get Started
0.55 € a day · cancel anytime · results in ~7 days

Your future self is waiting

Start building the healthiest decade of your life.

Get Started